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Search › West Virginia › 106S00000X

Samuel Tissenbaum

NPI 1205565918 · on the registry since 2022

Practice

Address
888 Oakwood Rd Ste 300
Charleston, WV 25314
Phone
(681) 265-0999
Organisation at this address
Uma Reddy Md
Joby Joseph,Md Inc
The Developmental Advantage, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia